MEDICARE: NICOLLE ALEXANDRA MONA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner	1602215984	NV

General Provider Information

NPI Number	:	1386909067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLLE ALEXANDRA MONA

Provider Business Mailing Address
First Line	:	3606 N RANCHO DR
Second Line	:	STE. #142
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3195
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3606 N RANCHO DR
Second Line	:	STE. #142
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3195
Country	:	US
Telephone Number	:	702-355-2220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2012
Last Update Date	:	07/09/2012

Similar Medicare Providers

1417123639 — MS. TRINA LARYCE ROBINSON LMFT
Practice Location Address:

3606 N RANCHO DR , SUITE 142
LAS VEGAS, NV
89130-3195

Practice Phone: 702-778-5300
Practice Fax: 702-778-5301

1730489154 — CLEARWATERS FAMILY GUIDANCE AND WELLNESS CENTERS LLC
Practice Location Address:

3606 N RANCHO DR , STE 142
LAS VEGAS, NV
89130-3195

Practice Phone: 702-778-5300
Practice Fax: 702-778-5301

1477839751 — FLOREECE WILLIAMS
Practice Location Address:

3606 N RANCHO DR
LAS VEGAS, NV
89130-3195

Practice Phone: 702-778-5300
Practice Fax:

1043596364 — MS. ASHLEY CHRISTINE BECKMAN
Practice Location Address:

3606 N RANCHO DR , SUITE 142
LAS VEGAS, NV
89130-3195

Practice Phone: 702-778-5300
Practice Fax:

1194087494 — CARA LEE GOODMAN
Practice Location Address:

3606 N RANCHO DR , SUITE 142
LAS VEGAS, NV
89130-3195

Practice Phone: 702-278-0984
Practice Fax: 702-651-0535

1457615445 — MICHELLE GREEN
Practice Location Address:

3606 N RANCHO DR , STE. #142
LAS VEGAS, NV
89130-3195

Practice Phone: 702-778-5300
Practice Fax:

Directions to “ NICOLLE ALEXANDRA MONA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.